摘要
目的对脑动静脉畸形出血急诊手术进行分析，为改善脑动静脉畸形出血患者的急诊效果提供参考。方法选择2009年10月至2015年10月收治的脑动静脉畸形出血患者34例，回顾性分析其病历资料、诊断与手术过程等，并随访1～12个月，了解患者恢复情况。结果所有患者均证实为脑动静脉畸形出血。全部切除19例（55．88％），部分切除（并供血动脉夹闭）15例（44．12％）；3例（8．82％）患者于术后7—14d死亡。31例（91．18％）出院患者随访1—12个月，随访期间，1例因合并症于出院1个月后死亡。末次随访时Barthel分级结果：I级10例（29．41％），II级14例（41．18％），111级及以上10例（29．41％）。手术优良率为70．59％。结论对脑动静脉畸形出血患者综合运用影像学检查方法，具有较高的诊断准确率。制定合理的手术方案，能够挽救患者生命，并且改善患者术后生存质量。
intracranial hemo Objective To analyze the emergency rrhage operation of arteriovenous malformation with , and thus to provide reference for improving the emergency effect. Methods Thirty-four patients with arteriovenous malformation with intracranial hemorrhage from October 2009 to October 2015 were selected as the research objects. The clinical data, diagnosis and surgical procedures were retrospectively analyzed, and the patients were followed up for 1 to 12 months. Results All the patients were confirmed to had arteriovenous malformation with intracranial hemorrhage. Total resection and partial resection was performed in 19 patients （55.88%） and 15 patients （44. 12% ）, 3 patients （8.82%） died at 7 to 14 d after surgery. Thirty-one patients（91.＇ 18% ） were followed up for 1 to 12 months. During the follow up period, 1 patient died in complications 1 month after discharge. At the last follow up, the Barthel grading follows ： 10 patients （ 29.41% ） patients （41.18%） of grade Ⅱ results were of grade Ⅰ , and 10 cases （29.41%） of grade Ⅲ. The curative rate was 70.59%. Conclusions CT, CTA, MRA, DSA and other imaging methods has high diagnostic accuracy in the diagnosis of the arteriovenous malformation with intracranial hemorrhage. Developing a reasonable surgical plan help save the patient＇ s life and improve the quality of life after surgery.
出处
《中国实用医刊》
2016年第12期63-65,共3页
Chinese Journal of Practical Medicine
关键词
脑动静脉畸形出血
急诊手术
影像学检查
BARTHEL指数
Arteriovenous malformation with intracranial hemorrhage
Emergency operation
Imaging examination
Barthel index
